scholarly journals Functional Independence Measure and Functional Assessment Measure (FIM+FAM) as a tool for assessing functional status in neurorehabilitation

2017 ◽  
Vol 18 (5) ◽  
pp. 330-333
Author(s):  
Anna Stiborová
Keyword(s):  
Functional Status ◽  
Functional Assessment ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Assessment Measure

The Functional Independence Measure and the Functional Assessment Measure (FIM + FAM) as an effective tool for the evaluation of functional status in stroke rehabilitation

2021 ◽  
Author(s):  
L. Shuranova ◽  
J. Vacková
Keyword(s):  
Functional Assessment ◽  
Clinical Decision Making ◽  
Rating Scale ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Hospital Treatment ◽  
Common Cause ◽  
Assessment Measure ◽  
Rehabilitation Period

The Functional Independence Measure and Functional Assessment Measure (FIM + FAM) is an effective, efficient, and objective tool for tracking changes in the motor, cognitive, and psychosocial functions of patients over the entire treatment and rehabilitation period. It is estimated that in the Czech Republic (CR), stroke is the third most common cause of death and the most common cause of adult disability. To develop faster, better, and more cost‑effective stroke treatments and reduce or mitigate functional losses and restrictive situations, it is very important that patients be objectively evaluated, relative to their functional abilities, as soon as possible after a stroke. A critical part of stroke treatment is to calculate the length of in‑hospital treatment and estimate the length of the rehabilitation period after the stroke. Contemporary methods for evaluating and analyzing a patient’s condition are based on test results and evidence.The FIM offers a more sensitive rating scale compared to BI due to the presence of cognitive items and is used worldwide for assessment during the acute stage of the disease. Thus, it is an efficient instrument for setting therapy goals and evaluating the effects of rehabilitation. Not only can it assist the therapist in clinical decision making, but it also functions as a tool for evaluating rehabilitation outcomes. Based on this test, short‑term and long‑term rehabilitation plans can be determined. At the end of the rehabilitation process, assessing the patient’s functional condition helps to predict the specific long‑term rehabilitation services the patient will need as they return to society and regain their quality of life.

scholarly journals People With Aneurysmal Subarachnoid Hemorrhage Have Low Physical Fitness and Can Be Predisposed to Inactive and Sedentary Lifestyles

2019 ◽  
Vol 99 (7) ◽  
pp. 904-914
Author(s):  
Wouter J Harmsen ◽  
Ladbon Khajeh ◽  
Gerard M Ribbers ◽  
Majanka H Heijenbrok-Kal ◽  
Emiel Sneekes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Fitness ◽  
Functional Outcome ◽  
Functional Assessment ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
First Year ◽  
Surgical Clipping ◽  
Assessment Measure

Abstract Background Physical inactivity, sedentary lifestyles, and low functional outcome are thought to impact the level of physical fitness in patients with aneurysmal subarachnoid hemorrhage (a-SAH). However, changes in fitness over time and associated factors have not been studied in a-SAH. Objective The objective was to evaluate the level of physical fitness in the first year after a-SAH and explore longitudinal relations with physical activity, sedentary behavior, and functional outcome. Additionally, we evaluated whether physical fitness could be predicted by disease-related characteristics (ie, severity of a-SAH, location of the aneurysm, treatment procedure, pituitary dysfunction, and complications). Design This was a prospective 1-year follow-up study. Methods Fifty-two participants performed exercise testing at 6 and 12 months after a-SAH. Cardiopulmonary exercise testing and isokinetic dynamometry were applied to determine the peak oxygen uptake $({\rm{\dot{V}}}{{\rm{o}}_{2{\rm{peak}}}})$ and the peak torque of the knee extensors (PText) and flexors (PTflex). In addition, physical activity and sedentary behavior were evaluated by accelerometer-based activity monitoring. The functional outcome was assessed by the Functional Independence Measure and Functional Assessment Measure. Disease-related characteristics were collected at hospital intake. Results At both 6 and 12 months, all fitness parameters were lower compared with predicted values (ranging from 18% to 28%). Physical activity is related to both ${\rm{\dot{V}}}{{\rm{o}}_{{\rm{2peak}}}}$ and PTflex. The Functional Independence Measure and Functional Assessment Measure scores was related to PText and PTflex. Further, participants who underwent surgical clipping had lower ${\rm{\dot{V}}}{{\rm{o}}_{{\rm{2peak}}}}$ and PTflex. Limitations Longitudinal observations cannot confirm causality. Conclusions Levels of physical fitness remain low over the first year after a-SAH. Participants who were physically more active had higher levels of physical fitness, whereas participants with impaired functional outcome or who were treated with surgical clipping were at risk of low physical fitness. Exercise interventions are warranted and should focus on the promotion of physical activity and target patients with impaired functional outcome or those who have been treated with surgical clipping.

Functional Independence Measure and Functional Assessment Measure

1993 ◽  
Author(s):  
Karyl M. Hall ◽  
Byron B. Hamilton ◽  
Wayne A. Gordon ◽  
Nathan D. Zasler
Keyword(s):  
Functional Assessment ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Assessment Measure

scholarly journals Factors Related to Greater Functional Recovery after Suffering a Stroke

2021 ◽  
Vol 11 (6) ◽  
pp. 802
Author(s):  
María Vázquez-Guimaraens ◽  
José L. Caamaño-Ponte ◽  
Teresa Seoane-Pillado ◽  
Javier Cudeiro
Keyword(s):  
Functional Status ◽  
Hospital Discharge ◽  
Functional Independence Measure ◽  
Inpatient Rehabilitation ◽  
Functional Independence ◽  
Primary Diagnosis ◽  
Rehabilitation Service ◽  
Bivariate Analysis ◽  
Linear Regression Models ◽  
Functional Assessments

Background: In a stroke, the importance of initial functional status is fundamental for prognosis. The aim of the current study was to investigate functional status, assessed by the Functional Independence Measure (FIM) scale, and possible predictors of functional outcome at discharge from inpatient rehabilitation. Methods: This is a retrospective study that was carried out at the Physical Medicine and Rehabilitation Service in A Coruña (Spain). A total of 365 consecutive patients with primary diagnosis of stroke were enrolled. The functional assessments of all patients were performed through the FIM. A descriptive and a bivariate analysis of the variables included in the study was made and a succession of linear regression models was used to determine which variables were associated with the total FIM at discharge. Results: Prior to having the stroke, 76.7% were totally independent in activities of daily living. The FIM scale score was 52.5 ± 25.5 points at admission and 83.4 ± 26.3 at hospital discharge. The multivariate analysis showed that FIM scores on admission were the most important predictors of FIM outcomes. Conclusions: Our study indicates that the degree of independence prior to admission after suffering a stroke is the factor that will determine the functionality of patients at hospital discharge.

scholarly journals Functional Independence Measure score is associated with mortality in critically ill elderly patients admitted to an intermediate care unit.

2020 ◽  
Author(s):  
Alexia D'Andrea ◽  
Damien Le Peillet ◽  
Thomas Fassier ◽  
Virginie Prendki ◽  
Veronique Trombert ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Functional Status ◽  
Critically Ill ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Health State ◽  
Intermediate Care ◽  
Intermediate Care Unit ◽  
Significant Difference ◽  
One Year

Abstract Background Age alone is not a robust predictor of mortality in critically ill elderly patients. Chronic health status and functional status before admission could be better predictors. This study aimed to determine whether functional status, assessed using the Functional Independence Measure (FIM), could be an independent predictor of mortality in a geriatric population admitted to an intermediate care unit (IMCU).MethodsA monocentric, retrospective, observational study of all patients aged ≥ 75 years old admitted to Geneva University Hospitals’ geriatric IMCU between 01.01.2012 and 31.05.2016. The study’s primary outcome metrics were one-year mortality’s associations with a pre-admission FIM score and other relevant prospectively recorded prognostic variables.Results A total of 345 patients were included (56% female, mean age 85 +/- 6.5 years). Mean FIM score was 66 +/- 26. One-year mortality was 57%. Dichotomized low (≤ 63) and high FIM (> 63) scores were associated with one-year mortalities of 68% and 44%, respectively. Logistic regression calculations found an association between pre-admission FIM score and one-year mortality (p < 0.0001), including variables usually associated with mortality (e.g., age, sex, comorbidities, mini-mental health state score, renal function). Multivariate survival analysis showed a significant difference between groups, with a hazard ratio of 0.29 (95% CI: 0.13–0.65) for patients with high FIM scores.Conclusions In the present study, higher functional status, assessed using the FIM tool before admission to an IMCU, was significantly and independently associated with lower one-year mortality. This opens up perspectives on the potential value of FIM for establishing a finer prognosis and better triage of critically ill older patients.

scholarly journals Functional assessment of patients with spinal cord injury: measured by the motor score and the Functional Independence Measure

Spinal Cord ◽  
1996 ◽  
Vol 34 (9) ◽  
pp. 531-535 ◽  
Author(s):  
Tetsuo Ota ◽  
Kazuto Akaboshi ◽  
Masaaki Nagata ◽  
Shigeru Sonoda ◽  
Kazuhisa Domen ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Assessment ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Motor Score ◽  
Cord Injury
Sign in / Sign up

Export Citation Format

Share Document